ATI RN
Vital Signs Health Assessment Questions
Question 1 of 5
A patient is experiencing dyspnea. What is the nurses priority action?
Correct Answer: B
Rationale: Dyspnea (shortness of breath) requires improving lung expansion. Elevating the head of the bed allows abdominal organs to shift downward, giving the diaphragm more room to move, easing breathing. Removing pillows might flatten the patient, worsening lung expansion. Elevating the foot could increase abdominal pressure on the diaphragm, exacerbating dyspnea. Taking blood pressure is secondary to addressing the immediate respiratory need. Choice B is the priority as it directly improves oxygenation, a critical nursing intervention rooted in anatomical and physiological principles for respiratory distress management.
Question 2 of 5
The patient is admitted with shortness of breath and chest discomfort. Which laboratory value could account for the patient's symptoms?
Correct Answer: B
Rationale: Shortness of breath and chest discomfort suggest reduced oxygen delivery. Hemoglobin of 8.0 g/dL indicates anemia (normal 12-16 g/dL), impairing oxygen transport. RBC 5.0 million/mm3 and hematocrit 45% are normal. Oximetry 95% is adequate. Choice B is correct, linking anemia to symptoms per nursing pathophysiology.
Question 3 of 5
According to the National Heart, Lung, and Blood Institute (NHLBI) of the National Institutes of Health, high blood pressure for adults is defined as...
Correct Answer: D
Rationale: NHLBI defines hypertension as 140 mmHg systolic or 90 mmHg diastolic , aligning with clinical standards (e.g., JNC 8). 120/80 is normal/prehypertension. 100/50 is low. 150/100 exceeds but isn't the threshold. Choice D is correct, reflecting NHLBI criteria nurses use to identify and manage high BP, a major cardiovascular risk factor.
Question 4 of 5
Will you attend the Regional Nursing Meeting to obtain the Continuing Nursing Education (CNE) unit for this Health & Safety Alert?
Correct Answer: A
Rationale: Nurses seeking CNE credits would likely attend for professional growth tied to the alert. Attending regardless splits intent. No or not a nurse opts out, less likely for engaged nurses. Choice A is correct, as CNE motivates attendance, per nursing licensure requirements, assuming interest in the topic.
Question 5 of 5
The patient was found unresponsive in her apartment and is being brought to the emergency department. She has arm, hand, and leg edema, her temperature is 95.6°F, and her hands are cold secondary to her history of peripheral vascular disease. It is reported that she has a latex allergy. To quickly measure the patient's oxygen saturation, what should the nurse do?
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.